20 Questions

Questions to Ask Patient

Essential questions for healthcare providers to gather comprehensive patient information, assess symptoms, and develop effective treatment plans while building trust and rapport.

1

What brings you in today and what are your main concerns?

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Why this works

Establishes the primary reason for the visit and helps prioritize the most important issues that need to be addressed.

2

When did you first notice these symptoms and how have they changed over time?

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Why this works

Provides a timeline of the condition and helps understand the progression and severity of symptoms.

3

What makes your symptoms better or worse?

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Why this works

Reveals triggers and relief factors that can help identify the underlying cause and guide treatment recommendations.

4

Have you tried any treatments or medications for this condition?

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Why this works

Shows what has been attempted previously and helps avoid duplicating ineffective treatments or identifying potential drug interactions.

5

What is your current pain level on a scale of 1-10?

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Why this works

Provides a quantitative measure of pain intensity that can be tracked over time and compared across visits.

6

How is this affecting your daily activities and quality of life?

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Why this works

Assesses the functional impact of the condition and helps prioritize treatment goals based on patient needs.

7

What medications are you currently taking, including over-the-counter and supplements?

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Why this works

Identifies potential drug interactions and helps understand the patient's current medication regimen.

8

Do you have any allergies or adverse reactions to medications?

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Why this works

Prevents allergic reactions and helps avoid medications that may cause adverse effects.

9

What is your medical history and do you have any chronic conditions?

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Why this works

Provides context for the current condition and helps identify potential contributing factors or complications.

10

What is your family history of medical conditions?

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Why this works

Reveals genetic predispositions and helps assess risk factors for various conditions.

11

What is your lifestyle like, including diet, exercise, and sleep habits?

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Why this works

Shows lifestyle factors that may contribute to the condition and helps identify areas for improvement.

12

Do you smoke, drink alcohol, or use any recreational drugs?

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Why this works

Identifies substance use that may affect treatment and helps assess risk factors for various conditions.

13

What is your occupation and does it involve any physical or environmental risks?

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Why this works

Reveals occupational hazards that may contribute to the condition and helps assess work-related factors.

14

How is your stress level and what are your main sources of stress?

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Why this works

Identifies stress factors that may contribute to the condition and helps assess mental health needs.

15

What are your treatment goals and what would you like to achieve?

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Why this works

Establishes patient expectations and helps align treatment plans with their desired outcomes.

16

Do you have any concerns or fears about your condition or treatment?

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Why this works

Addresses patient anxieties and helps build trust while ensuring they feel heard and supported.

17

What is your support system like and who helps you with your health?

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Why this works

Identifies available support and helps understand the patient's social context and resources.

18

How do you prefer to receive information about your condition and treatment?

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Why this works

Shows their communication preferences and helps ensure information is delivered in a way they can understand and use.

19

What questions do you have about your condition or treatment?

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Why this works

Encourages patient engagement and helps ensure they understand their condition and treatment options.

20

Is there anything else you think I should know about your condition or situation?

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Why this works

Provides an opportunity for patients to share additional information they may not have mentioned earlier.

Best Practices for Patient Interviews

Expert tips and techniques for getting the most out of these questions.

Best Practices

Create a Comfortable Environment

Ensure the patient feels safe and comfortable. Use active listening and maintain eye contact to build trust and rapport.

Use Open-Ended Questions

Ask questions that allow patients to provide detailed information rather than yes/no responses. This helps gather comprehensive information.

Be Empathetic and Non-Judgmental

Show empathy and avoid judgmental language. This helps patients feel comfortable sharing sensitive information.

Question Sequences

The Symptom Assessment Sequence

1
What brings you in today and what are your main concerns?
2
When did you first notice these symptoms?
3
What makes your symptoms better or worse?
4
What is your current pain level on a scale of 1-10?

The Medical History Sequence

1
What medications are you currently taking?
2
Do you have any allergies or adverse reactions?
3
What is your medical history?
4
What is your family history of medical conditions?

Common Pitfalls

Don't Rush the Interview

Take time to listen to the patient's concerns. Don't interrupt or rush through questions, as this can lead to missed information.

Don't Make Assumptions

Avoid making assumptions about the patient's condition or treatment preferences. Ask questions to understand their specific needs.

Don't Ignore Non-Verbal Cues

Pay attention to the patient's body language and emotional state. These can provide important clues about their condition and needs.

Conversation Templates

The Symptom Assessment

1
Step 1: Start with: "What brings you in today and what are your main concerns?"
2
Step 2: Follow with: "When did you first notice these symptoms?"
3
Step 3: Explore with: "What makes your symptoms better or worse?"
4
Step 4: Conclude with: "What is your current pain level on a scale of 1-10?"

The Medical History Focus

1
Step 1: Begin with: "What medications are you currently taking?"
2
Step 2: Investigate with: "Do you have any allergies or adverse reactions?"
3
Step 3: Explore with: "What is your medical history?"
4
Step 4: Clarify with: "What is your family history of medical conditions?"

Further Reading

"The Complete Guide to Patient Interviewing" by American Medical Association
"Patient-Centered Care" by Institute of Medicine
"The Patient Interview Handbook" by American Academy of Family Physicians

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